| NPI | 1760455232 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: WI 54933) |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease (Licence: MN 45793) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2016-01-25 |